Syllabus

Material Nursing for Post Basic B.Sc. (Nursing)

S.NO                                              TOPIC                                 DOMAIN HRS
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TRENDS AND ISUUES IN MIDWIFERY:
· Introduction to midwifery and obstetrical Nursing
· Introduction to concepts of midwifery and obstetrical nursing
· Trends in midwifery and obstetrical nursing
· Historical perspectives and current trends 

· National policy and legislation in relation to maternal healthand welfare

  • Legal and ethical aspects

· Pre-conception care and preparing for parenthood
· Role of nurse in midwifery and obstetrical care
· Maternal, morbidity, mortality and fertility rates
· Perinatal, morbidity and mortality rates

 

ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE ORGANS:

  • Review of anatomy and physiology of female reproductive system and foetal development
  • Female organs of reproduction external genital, internal genital organs and their anatomical relations, musculature-blood supply, nerves, lymphatic’s, pelvic cellular tissue.
  • Pelvic  peritoneum.
  • Human sexuality

 

  • Physiology of menstrual cycle
  • Female pelvis-general description of the bones, joints, ligaments, planes of the pelvis diameters of the true pelvis, important landmarks, variations in pelvis shapes
  • Foetal development
  • Conception, Fertilization, implantation (embedding of the ovum), development of the embryo and placenta at term-functions, abnormalities, the foetal sac, amniotic fluid, the umbilical cord Foetal circulation, foetal skull, bones, sutures and measurements.
  • Review of genetics

 

ANTENATAL PERIOD:

  •  Assessment and management of pregnancy(ante-natal)
  •  Normal pregnancy
  •  Physiological changes during pregnancy
  •  Reproductive system
  •  Cardio vascular system
  •  Respiratory system
  •  Urinary system
  •  Gastro intestinal system
  •  Metabolic changes
  •  Skeletal changes
  •  Endocrine system
  •  Psychological changes
  •  Discomforts of pregnancy
  •  Diagnosis of pregnancy
  •  Signs
  •  Differential diagnosis
  •  Confirmatory tests
  • Ante-natal care
  • Objectives
  • assessment
  •  History and physical examination
  •  Antenatal examination
  •  Signs of previous child-birth
  •  Relationship of foetus to uterus and
  •  Pelvis lie, attitude, presentation, position.
  •  Per vaginal Examination
  • Screening and assessment for high risk, Risk approach
  • History and physical examination
  • Modalities of diagnosis, invasive and non-invasive, ultrasonics, cardio tomography, NST,CST Antenatal preparation
  •  Antenatal counseling
  •  Antenatal exercise
  •  Diet
  •  Substance use
  •  Education for child birth
  •  Husband and families
  •  Preparation for safe confinement
  •  Prevention from radiation Psychosocial  cultural aspects of pregnancy
  •  Adjustment to pregnancy
  •  Unwed mother
  •  Single parent
  •  Teen age pregnancy
  •  Sexual violence
  • Adoption

 

 

 

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4. Intranatal Period

  • Assessment and management of intranatal period
  •  Physiology of labour mechanism of  labour management of labour

First stage

  •  Signs and symptoms of onset of labour; normal and abnormal
  •  Duration
  •  Preparation of labour room women
  •  Assessment and observation of women in labour; partogram-maternal and foetal monitoring
  •  Active management of labour, induction of labour
  •  Pain relief and comfort in labour

Second stage

  •  Signs and symptoms, normal and abnormal
  •  Duration
  •  Conduct of delivery; principles and techniques
  •  Episiotomy (only if required)
  •  Receiving the newborn
  •  Neonatal resuscitation initial steps and subsequent resuscitation
  •  Care of umbilical cord
  •  Immediate assessment including screening for congenital anomalies
  •  Identification
  •  Bonding
  •  Initiate feeding
  •  Screening and transportation of the neonate

Third stage

  •  Signs and symptoms; normal and abnormal
  •  Duration
  •  Method of placental expulsion
  •  Management; principles and techniques
  •  Examination of the placenta
  • Examination of perineum Maintaining records, and reports Forth stage
 

 

 

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5 Postnatal period

  • Assessment and management of women during postnatal period
  •  Normal purperium physiology Duration
  •  Postnatal assessment and management
  •  Promoting physical and emotional well-being
  •  Lactation management
  •  Immunization
  •  Family dynamics after child-birth
  •  Family welfare services; methods, counseling
  •  Follow-up
  • Records and reports

 

 

 

 

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6 Normal newborn

  • Assessment and management of normal neonates
  • Normal Neonate; Physiological adaptation, Initial and daily assessment
  • Essential newborn care; thermal control Breast
  • feeding, prevention of infections
  • Immunization
  • minor disorders of newborn and its management
  • Levels of neonatal care (level I,II,&III)
  • At primary, secondary and tertiary levels
  • Maintenance of reports and records.
 

 

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High risk pregnancy

  • High-risk pregnancy-assessment and management
  • Screening and assessment
  • Ultrasonics, cardiotomography, NST, CST, non-invasive and invasive
  • Newer modalities of diagnosis high- risk approach
  • Levels of care; primary, secondary and tertiary levels
  • Disorders of pregnancy
  • Hyper-emesis gravidarum, bleeding in early pregnancy, abortion, ectopic
  • Pregnancy, vesicular mole,
  • Antepartum haemorrhageUterine abnormality and displacement Diseases bcomplicating pregnancy
  • Medical and surgical conditions
  • Infections, RTI (STD), UTI, HIV,TORCH
  • Gynaecological diseases complicating pregnancy
  • Pregnancy induced hypertension and diabetes, hydramnios
  • Rh incompatibility
  • Mental disorders
  • Adolescent pregnancy, Elderly prime and grand multipara
  • Multiple pregnancy
  • Abnormalities of placenta and cord
  • Intra-uterine growth-retardation
  •  Nursing management of mothers with high-risk pregnancy
  • Maintenance of records and report

Abnormal labour

  • Abnormal labour-assessment and management
  • Disorders in labour
  • CPD and contracted pelvis
  • Malpositions and malpresentations
  • Premature labour, disorders of uterine actions-precipitate labour,
  • Prolonged labour
  • Complications of third stage: injuries to birth canal
  • Obstetrical emergencies and their Management;
  • Presentation and prolapse of cord, vasa praevia, amniotic fluid embolism,rupture of the uterus, shoulder dystocia, obstetrical shock.
  • Obstetrical procedures and operations
  • Induction of labour, forceps, vacuum version, manual removal of placenta, caesarean section, destructive operations.
  • Nursing management of women undergoing obstetrical operations and procedures.
 

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9 Complications of third stage of labour

  • Abnormalities during postnatal Periods
  • Assessment and management of women with postnatal complications
  • Puerperal infections, UTI, thrombo- Embolic disorders, post-partum haemorrhage,
  • Eclampsia and subinvulations
  • Psychological complications:
  • Post partum blues
  • Post partum depression Post partum psychosis
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Desirable to know

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10 High risk newborns

  • Assessment and management of high risk newborn
  • Admission of neonates in the neonatal intensive care units protocols
  • Nursing management of:
  • Low birth weight babies
  • Infections
  • Respiratory problems
  • Hemolytic disorders
  • Birth injuries
  • Malformations
  • Monitoring high risk neonates
  • Feeding of high risk neonates
  • Organisation and management of neonatal intensive care units
  • Infection control in neonatal intensive care units maintenance of reports and records
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Desirable to know

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11 Pharmacotherapeutics

  • Pharmaco-therapeutics in obstetrics
  • Indication, dosage, action, contraindication and side effects of drugs
  • Effect of drugs on pregnancy, labour and puerperium
  • Nursing responsibilities in the administration of drugs in obstetrics
  • Oxytocin, antihypertensives, diuretics, tocolyticagents ,anticonvulsants;
  • Analgesics and anesthesics in obstetrics
  • Effects of maternal medication on foetus and neonate
 

 

 

Must know

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12 Family welfare

  • Family welfare programme
  • Population’ trends and problem in India
  • Concepts, aims, importance and history of family welfare programme
  • National population: dynamics, policy and education ‘
  • National family welfare programme; RCH, ICDS, MCH, safe motherhood
  • Organization and administration; at national, state, district, block and village levels
  • Methods of contraception; spacing, temporary and permanent, Emergency contraception
  • Infertility and its management
  • Counselling for family welfare
  • Latest research in contraception
  • Maintenance of vital statistics
  • Role of national international and voluntary organizations
  • Role of nurse in family welfare programme
  • Training/supervision/collaboration with other functionaries in communitylike ANMs, LHVs, Anganwadi workers, TBAs (Traditional birth attendant-Dai)

 

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Admission 2017